Average MRI. $500–$1,300. Average CAT Scan. $300–$600. Maternity Services ... Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. Printed at Blue ...

$250 copay per visit (only if the services are not covered in full by ... MRI scans. $100 copay Ambulance. $100 copay ER (waived if admitted). $0 copay.

17 мар. 2020 г. · It will depend on your plan, and it will depend on what they want to charge. The actual cost of an MRI is actually quite low.

1 янв. 2023 г. · Imaging (CT/PET scans,. MRIs). $250/test; deductible does not apply Not Covered. Referral required. Page 3. Page 3 of 6. Blue Cross and Blue ...

$35 copay for primary care · $45 copay for specialists · $35 copay for mental health visits · $0 for first 2 visits and all nutrition visits. $15 all additional ...

Brand: $30 copay/prescription. Non-Pref. Brand: $50 copay/prescription. Not covered. Covers up to a 30 day supply. Only covered at specific contracted specialty ...

1 авг. 2018 г. · Imaging (CT/PET scans, MRIs). $200 copay CT/PET. $250 copay MRI. 40% coinsurance. CT/PT scans and MRIs require preauthorization. Page 3. 3 of 6.

FEP Blue Standard™ Benefits · Tier 1 (Generics): $15 copay · Tier 2 (Preferred brand): $90 copay · Tier 3 (Non-preferred brand): $125 copay.

Copayment applies per category of test / day; pre-authorization required for certain services. Imaging (CT/PET scans, MRIs). $250. Not covered. Copayment ...

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